通过门诊采样数据分析三级甲等综合医院中医药处方情况

朱珠; 杨根治; 范倩倩; 常青; 梁晓春; 李雯; 唐彦

doi:10.3969/j.issn.1674-9081.2017.01.007

通过门诊采样数据分析三级甲等综合医院中医药处方情况

nvestigation on Traditional Chinese Medicine Prescription of Tertiary Hospital Based on Outpatient Prescription Sample

摘要

摘要:
目的通过门诊处方采样数据，分析三甲综合医院中医药处方情况。
方法调取北京协和医院信息管理系统2015年7月1日至9月30日所有门诊处方，对门诊和中医科的处方数、条目数、金额等进行分类统计和对比分析。
结果中医科中药饮片处方数占全院中药饮片处方总数的92.46%，中医科中成药处方数占全院中成药处方总数的14.35%。全院中药饮片处方和中成药处方之和占全院门诊处方总数的18.72%，处方金额占比为12.39%。中医科共有6个诊区，中医科普通门诊的处方数远高于其余5个。
结论中医科是中药饮片的最主要处方科室。85.65%的门诊中成药由西医科室开具使用，存在使用盲目性的风险。

Abstract:
Objective To investigate the prescription of traditional Chinese medicine (TCM) in a tertiary general hospital for outpatients based on the prescriptions sample.
Methods All of the prescriptions for outpatients visiting Peking Union Medical College Hospital from July 1 to September 30, 2015 were sampled and then analyzed according to the amount of prescriptions and costs on herbal medications, Chinese patent medicines, hospital preparations, and western medications, respectively.
Results The prescriptions on herbal medications by TCM Department accounted for 92.46% of those in the hospital. The prescriptions on Chinese patent medicines by TCM Department were 14.35% of all the Chinese patent medicine prescriptions of the whole hospital. The sum of prescriptions on herbal medications and Chinese patent medicines accounted for 18.72% of all outpatient prescriptions, and the sum of costs of these two types of prescriptions accounted for 12.39%. There were six TCM outpatient clinic units, with the highest amount of prescriptions in the general unit.
Conclusions The TCM Department is the major department herbal medications. Around 85.65% prescriptions on Chinese patent medicines were prescribed by non-TCM Department, which may induce potential risk of irrational use.

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